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General NPI Number Information
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NPI Number | 1871413153
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Entity Type | Organization
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Legal Business Name | DAMARIS COLON LICENSED MENTAL HEALTH COUNSELOR LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 151 CENTRE ST
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City | BAYONNE
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State | NJ
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Zip | 07002-7212
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Country | US
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Telephone | 917-935-0364
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 192
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City | BAYONNE
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State | NJ
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Zip | 07002-0192
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAMARIS COLON
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Credential | LMHC, LPC
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Telephone | 917-935-0364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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